Search › California › 122300000X
Vanida Wangwongvivat, D.D.S
NPI 1174540868 · on the registry since 2006 · sole proprietor
Practice
- Address
- 12724 Sherman Way
North Hollywood, CA 91605 - Phone
- (818) 765-8280
- Organisation at this address
- Jiravat Wangwongvivat, D.D.S. , A Professional Corporation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
- Licence states on file
- CA, IA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California